A list that matches the vaccine name or s in Washington Immunization Information System (WA IIS) with the brand name or other s of the vaccines you use most often. Combination Vaccines Pediarix DTAP/HepB/IPV 6 weeks + NDC: 58160-0811-52 90723 110 Pentacel DTaP/HIB/IPV 6 weeks - 5 yrs NDC: 49281-0510-05 90698 120 Kinrix NDC: 58160-0812-11 DTaP/IPV 4-6 yrs 90696 130 Quadracel NDC: 49281-0562-10 Comvax HEPB/HIB 6 weeks + NDC: 00006-4898-00 90748 51 ProQuad MMR/V 1 yr + SQ NDC: 00006-4999-00 90710 94 MenHibrix Meningococcal C/Y-HIB- 6weeks 18 PRP months NDC: 58160-0801-11 90644 148 Twinrix HepA/HepB 18 + yrs 90636 104 Diphtheria, Tetanus and Pertussis Diphtheria and tetanus toxoids adsorbed Daptacel DT (Pediatric) 6 weeks + DTaP or DTaP, 5 Pertussis Antigen 6 weeks + Infanrix DTaP 6 weeks + Tenivac - Tetanus and diphtheria toxoids adsorbed Boostrix Tetanus Diphtheria & Acellular Pertsussis Adacel Tetanus Diphtheria and Acellular Pertussis Td Adult, Preserv free 7+ yrs Tdap 7-65+ yrs Tdap 7-65+yrs NDC: 49281-0225-10 NDC: 49281-0286-10 90700 NDC:58160-0810-11 NDC: 49281-0215-10 NDC:58160-0842-11 NDC: 49281-0400-10 90702 28 106 20 90714 113 90715 115 Tripedia DTaP 6 weeks + 90700 20 Decavac - Tetanus and diphtheria toxoids adsorbed (Replaced by Tenivac) Td Adult, Preserv free 90714 113
Diphtheria, Tetanus and Pertussis (conti.) Whenever DTaP was given, even if the brand name is unknown Tetanus and diphtheria toxoids adsorbed Diphtheria, tetanus toxoids, & whole cell pertussis vaccine (will be from historical records) DTaP 90700 20 Td Adult 90718 09 DTP Hepatitis A Havrix 12 months - Hep A 2 dose - Ped/Adol (2 doses for pediatric/adolescent) 18 yrs Vaqta 12 months - Hep A 2 dose - Ped/Adol (2 doses for pediatric/adolescents) 18 yrs Havrix (3 doses for pediatric/adolescent) Hep A 3 dose - Ped/Adol Vaqta (2 doses for adults) Hep A 2 dose - Adult 19+ yrs Havrix (2 doses for adults) Hep A 2 dose - Adult 19+ yrs Hepatitis B Engerix-B Ped/Adol HepB Ped/Adol Preserv. (3 dose schedule) Free Birth - 19 yrs Recombivax HB Ped/Adol Recombivax - Dialysis (3 dose schedule) Recombivax HB for adults HepB Ped/Adol Preserv. Free Hepatitis B - dialysis Hep B 2 dose Adol/Adult Birth - 19 yrs 11-15 years Engerix-B for adults Hep B Adult 20 + yrs (720 EL.U) (25 U) (50u) (1440 EL.U) 10µg 5µg 40µg 10µg 20µg NDC: 58160-0825-11 NDC: 00006-4831-41 NDC: 58160-0820-11 NDC: 00006-4981-00 90633 83 90632 52 90744 08 90747 44 90743 43 90746 43 Recombivax HB for adults Hep B Adult 20 + yrs 10µg 90746 43 Various dosages depending on specific individual cases, such as high risk or dialysis. Note: there are various choices available to reflect the specific situation 90746 43 2/8 Updated: 05/19/15, V5.14.11.2
HIB ActHib Hib-PRP-T PedvaxHib Hib-PRP-OMP Hiberix Hib-PRP-T OmniHib Hib-PRP-T 2 months - 5 yrs 2 months - 5 yrs 12 months 4 years NDC: 49281-0545-05 NDC: 00006-4897-00 90648 48 90647 49 90648 48 HibTITER Hib-HBOC ProHIBit (discontinued) Human Papilloma Virus Hib-PRP-D Gardasil HPV, quadrivalent 9-26 yrs Gardasil 9 HPV, 9 9 26 yrs Cervarix HPV, bivalent 10-25 yrs Immune Globulin Products HyperHEP B S/D or HepaGam B (Hepatitis B Immune Globulin) GamaSTAN S/D (Immune Globulin) Note: Used for post-exposure prophylaxis for Hep A and MMR exposure Immune Globulin, intravenous Note: Rarely used for post-exposure prophylaxis Synagis (Respiratory Syncytial Virus Immune Globulin) HyperTET S/D (Tetanus Immune Globulin) (This list is not comprehensive by brand name or manufacturer) HBIG (Hepatitis B Immune Globulin) IG (Immune Globulin ) IGIV RSV-IG TIG NDC: 00006-4045-41 NDC: 0006-4119-03 NDC: 58160-0830-52 Talecris Biotherapeutics TAL OR Cangene Corp - CNJ Talecris Biotherapeutics TAL or Grifols GFR 90649 62 90651 165 90650 118 90371 30 90281 86 IV Many Manufacturers 90283 87 MedImmune MED 90378 93 Talecris Biotherapeutics - TAL 90389 13 3/8 Updated: 05/19/15, V5.14.11.2
Immune Globulin Products cont.: VariZIG (Varicella Zoster Immune Globulin) Note: Used for post exposure prophylaxis to Chickenpox Influenza Fluzone, Quadrivalent, 6-35 mos (IIV4) FluLaval, Quadrivalent (IIV4) Fluzone, Quad, w/preserv (IIV4) Flumist Quadrivalent (LAIV4) FLUARIX Quadrivalent (IIV4) Afluria (IIV3) Contains Preservative Afluria (IIV3) Preservative Free VZIG (This list is not comprehensive by brand name or manufacturer) Influenza inj quad PF, 6-35 mos Influenza, inj, quad, w/preservative 36+ mos Influenza, inj, quad, w Preservative, Influenza, live intranasal, quadrivalent Influenza, inj, quad PF, 36+ mos Influ Inact 9 + yrs w/thimerosol Influ Inact 9+yrs pres free 6-35 mos 3-18 yrs 2-18 yrs 9+ yrs 9+ yrs Agriflu (IIV3), preservative free Influ split, 18+ yrs, PF 18+ yrs FLUARIX Quadrivalent (IIV4) Flublok (RIV3) Flucelvax (cciiv3) Influenza, inj, quad PF, 36+ mos Inf, recomb, inj, 18+ yrs, PF Influ split, MDCK, presv free, 18+ years 18-49 yrs 18+ yrs FluLaval (IIV3) Influ Split, 36+ mos FluLaval Quad PF (IIV4) FluLaval Quad w/presrv (IIV4) Influenza, inj. Quad PF, 36+ mos Influenza, in j quad, w/preservative, 36+ mos 0.25 ml 0.2 ml PIS SDV IN Cangene Corporation (Canada) CNJ NDC: 49281-0514-25 NDC: 19515-0891-11 NDC: 49281-0621-15 MedImmune MED NDC: 66019-0301-10 NDC: 58160-0901-52 90396 36 90685 161 90688 158 90688 158 90672 149 90686 150 CSL Biotherapies, INC 90658 141 CSL Biotherapies, INC 90656 140 NDC: 58160-0901-52 Protein Sciences Corp PSC 90656 140 90686 150 90673 155 90661 153 90658 141 90686 150 90688 158 4/8 Updated: 05/19/15, V5.14.11.2
Influenza cont.: Flumist Quadrivalent (LAIV4) Fluvirin (IIV3) Fluvirin (PF) (IIV3) Fluzone (IIV3) Contains Preservative Fluzone (IIV3) Preservative Free Fluzone (IIV3) Contains Preservative Fluzone, Quad, 6-35 mos, PF (IIV4) Fluzone, Quad, w/preserv (IIV4) Fluzone, Quad,, PF (IIV4) Fluzone, Quad, w/preserv (IIV4) Influenza, live intranasal, quadrivalent Influ Inact 48+ mos, w Thimerosol Influ Inact 48+ mos presser free Influenza split, 6-35 mos Influ Split, 36+ mos, pres free Influ Split, 36+ mos Influenza inj quad PF, 6-35 mos Influenza, inj, quad w/presr, 6-35mos Influenza, inj, quad PF, Influenza, inj, quad, w Preservative, 2-49 yrs 4+ yrs 4+ yrs 6-35 mos 6-35 mos 6-35 mos Fluzone High (IIV3) Influenza, High 65+ yrs Fluzone Intradermal (IIV3) Influenza, Intradermal PF 18-64yr Japanese Encephalitis 0.2 ml PIS 0.25ml 0.25 ml 0.25 ml SDV 0.1mL PFMS IN ID MedImmune MED NDC: 66019-0301-10 NDC: 49281-0514-25 90672 149 90658 141 90656 140 90657 141 90656 140 90658 141 90685 161 90687 158 90686 150 90688 158 90662 135 90654 144 IXIARO - Japanese Encephalitis Japanese Encephalitis- 17 yrs + Intercell Biomedical - INT 90738 134 JE-VAX - Japanese Encephalitis Japanese Encephalitis Measles, Mumps & Rubella MMRII - Measles, Mumps & Rubella MMR 1+ yrs SQ NDC: 00006-4681-00 90707 03 5/8 Updated: 05/19/15, V5.14.11.2
Meningococcal Menactra Meningococcal Conjugate vaccine (Serogroups A, C, Y, W-135) Menveo Meningococcal Conjugate vaccine (Serogroups A, C, Y, W-135) Meningococcal (MCV4P) 9mos-55 yrs Meningococcal (MCV4O) 2-55 yrs Bexsero Meningococcal B, OMV Meningococcal B, OMV 10-25 yrs Trumenba Meningococcal B, recombinant Menomune A/C/Y/W-135 Meningococcal Polysaccharide vaccine Pneumonia Prevnar 13 (Pneumococcal Conjugate, 13 valent) Pneumovax 23 (Pneumococcal, polyvalent) Prevnar (Pneumococcal Conjugate, 7 valent) (Note: to be documented for vaccine given before 04/2010) Meningococcal B, recombinant Meningococcal (MPSV4) Pneumococcal, PCV-13 Pneumococcal, (PPSV) Pneumococcal, (PCV) Polio 10-25 yrs 3-18 mos (2 doses), 19+ mos ( 1 dose) 2-59 months 2 yrs w/health risks 2-59 months SQ IPOL Poliovirus vaccine, inactivated IPV 6 weeks + SQ Poliovirus vaccine, live oral Rabies OPV SQ/ NDC: 49281-0589-05 NDC: 46028-0208-01 NDC: 46028-0114-02 Pfizer, INC - PFR NDC: 0005-0100-01 Pfizer, INC - PFR NDC: 00005-1971-02 NDC: 00006-4943-00 90734 114 90734 136 90620 163 90621 162 90733 32 90670 133 90732 33 Wyeth Ayerst WAL 90669 100 NDC: 49281-0860-10 90713 10 Imovax Rabies 90675 18 6/8 Updated: 05/19/15, V5.14.11.2
Rabies conti: Rabavert Rabies Rabies, ID Rabies, Intradermal 0.1ml ID Rotavirus Rotateq Rotavirus, pentavalent 2-32 RV5 months 2.0 ml ORAL Rotavirus Cont.: NDC: 00006-4047-41 90675 90676 18 40 90680 116 Rotarix Rotavirus, monovalent RV1 6-24 weeks ORAL NDC: 58160-0845-52 90681 119 TB test Purified Protein Derivative (PPD) PPD Test 0.1 ml ID QuantiFERON TB Gold Test (QGT-G) Typhoid QuantiFERON TB Gold Test (QGT-G) Typhoid ViCPs Typhoid, ViCPs 2 yr + N/A Blood Draw Parkdale Pharmaceuticals PD 86580 96 N/A 86480 N/A 90691 101 Typhoid, Oral (Vivotif Berna) Typhoid, Oral 6 yr + 4 tabs ORAL Crucell - CRU 90690 25 Typhoid, parenteral Varicella Varivax Chicken Pox Vaccine Typhoid, parenteral Yellow Fever Varicella 1+ yrs SQ Yellow Fever Yellow Fever 9+ months SQ Zoster ("Shingles") NDC: 00006-4827-00 90716 21 90717 37 Zostavax Zoster 50 + yrs 0.65 ml SQ 90736 121 7/8 Updated: 05/19/15, V5.14.11.2
Notes On the Vaccination View/Add Screen: there are two places to look for the appropriate vaccine choice when entering a vaccination date. Always look FIRST at the vaccine names that appear on the screen. ALL routine vaccines will appear. For less common vaccines that you can t find on this list, go to the select box at the bottom of the vaccine list, and choose your vaccine from the drop-down list and enter the date administered. "Unspecified" vaccines should only be used for entering historical vaccines when the specific vaccine type is unknown. If your practice manages vaccine inventory in WA IIS: make sure the vaccine types you enter match the vaccine types your lot number manager has entered. If you don t see the correct lot number on your Vaccination Detail screen, you and your lot number manager may be entering different vaccines (i.e., DTaP vs. DTaP-5 pertussis antigen.) Be sure to speak with the person entering your lot numbers if you notice any issues/problems. FLU Notes to consider = Prefilled Syringe; = Multidose vial; SDV - Single vial; PFMS Prefilled micro syringe WA IIS staff discourage the use of the vaccine type "Influenza Whole". This vaccines type has not been used in the U.S. for some time 8/8 Updated: 05/19/15, V5.14.11.2